Liao, W
Ideally incorporate rigorous baseline and follow-up assessments: DEXA, body composition, visceral fat, renal function, endocrine panels, inflammatory biomarkers (IL-6, TNF-, SASP markers if available)
For a 16-week protocol , total projected use is about 78.4 mg , so 8 vials would usually be needed
doi: 10.1136/annrheumdis-2012-202460
These guidelines, put forth at the 2nd Diabetes Surgery Summit (DSS-II), also suggest metabolic surgery be considered in type 2 diabetic patients with a BMI of 3034.9 and inadequately controlled hyperglycemia (Rubino 2016)
If you have high hematocrit or a clotting disorder, consult a hematologist before starting regular injections